Create Statutory Declaration

The New Zealand Certified Locator Program

Renewals

I (Enter your full name)

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of (Enter the address where you live)

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(Enter your occupation – for example, bricklayer, teacher, unemployed)

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Declaration

(List the facts in your own words. Number each point to make it clearer)

Please tick the following statements if true (tick all that apply):

I have completed a minimum number of 100 hours of locating in the last 12 months

I use the required equipment

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(List any other relevant facts in your own words. Number each point to make it clearer)

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